儿科护士对慢性病患儿过渡期准备认知的质性研究
Pediatric nurses'perception of transition readiness in adolescents with chronic disea-ses
余艮珍 1吴晓 1罗颖 1黄实 1秦秀丽 1易永红 1朱慧云 1易君丽 1朱振云 1朱杉1
作者信息
- 1. 华中科技大学同济医学院附属同济医院儿科(湖北武汉,430030)
- 折叠
摘要
目的 深入了解儿科护士对青少年慢性病患儿过渡期准备的认知,为患儿过渡期准备开展护理干预提供参考.方法 运用描述性质性研究方法,以目的抽样法选取儿科护士 13人作为研究对象,进行半结构式深入访谈,采用内容分析法对资料进行分析并提炼主题.结果 共提炼出4个主题:护士对过渡期准备存在认知偏差,认同和肯定过渡期准备的重要性,存在阻碍患儿过渡期准备的因素(家长过多承担疾病管理责任、患儿的消极情绪、依恋关系解除的恐慌、护士开展过渡期准备干预存在多重阻力),促进患儿过渡期准备的因素(开展过渡期准备教育、家庭和同伴支持、提供组织支持).结论 过渡期准备对于慢性病患儿非常必要,但儿科护士对过渡期准备认知不足,开展临床干预存在诸多阻碍.管理者应加强培训,构建过渡机制,落实过渡期准备,引导患儿平稳过渡.
Abstract
Objective To deeply understand pediatric nurses'perception of transition readiness in adolescents with chronic diseases,and to provide reference for transition care practice.Methods Using a descriptive qualitative research method,13 pediatric nurses were purposively selected and received semi-structured in-depth interviews.Content analysis was employed to analyze and extract themes from the data.Results Four themes were identified:nurses had cognitive deviations in transition readiness,acknowledge-ment of the importance of transition readiness,barriers to transition readiness(excessive parental disease management,negative emotions of the patient,panic over the dissolution of the attachment relationship,and multiple obstacles to administering transition readiness interventions to the patient),and facilitators of transition readiness(conducting transition preparation training,family and peer support,and providing organizational support).Conclusion Transition readiness is essential for pediatric patients with chronic diseases.However,pediatric nurses have insufficient awareness of transition preparation,and there are numerous barriers to clinical intervention.Managers should strengthen training,establish transition mechanisms,and implement transition prepara-tion intervention,in an effort to help the pediatric patient to achieve a better transition.
关键词
护士/青少年/慢性病/患儿/过渡期准备/过渡期管理/质性研究Key words
nurse/adolescent/chronic disease/pediatric patients/transition readiness/management of the transition period/qualitative research引用本文复制引用
基金项目
2022年度华中科技大学同济医学院附属同济医院科研基金(2022C09)
出版年
2024
NETL
NSTL
万方数据